Healthcare Provider Details

I. General information

NPI: 1437112273
Provider Name (Legal Business Name): ANESTHESIA CONSULTANTS OF WESTERN COLORADO, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 WELLINGTON AVE SUITE 206
GRAND JUNCTION CO
81501-6129
US

IV. Provider business mailing address

1120 WELLINGTON AVE SUITE 206
GRAND JUNCTION CO
81501-6129
US

V. Phone/Fax

Practice location:
  • Phone: 970-243-7245
  • Fax: 970-241-1308
Mailing address:
  • Phone: 970-243-7245
  • Fax: 970-241-1308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ERNEST J HOECKEL JR.
Title or Position: PRESIDENT
Credential: MD
Phone: 970-243-7245